IJSP-2010(3-4) - Indian Association For Social Psychiatry

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Nizamie & Goyal • To treat and rehabilitate patients with mental health problems in the family setting. This would include development of modules for rehabilitation services based on Assertive Community Treatment approach (ACT), which would include development of Psychiatric Social Work (PSW) services from very basics and to integrate community mental health services with PSW service provision. • Information, education and communication (IEC) on mental health, especially the prevention of stressrelated disorders through the promotion of healthy lifestyles and operational research studies on the effective implementation of preventive, promotional and curative programmes using the existing health infrastructure require due attention. • To educate the community to reduce the stigma attached to mental illness. With increasing numbers of suicides reported among young people, crisis management centers and telephone help-lines should be introduced in major cities and health establishments taking help of local agencies and NGOs. • Development of infrastructure for newer subspecialties emerging in mental health including workplace mental health, prison mental health and to provide fresh impetus into neuropsychiatry, geriatric psychiatry and child and adolescent mental health. • Providing standardized administrative and assessment protocols for implementation of the programme at various levels including a system of support and supervision, along with evaluation. This should be achieved by creating teams of professionals at the central, regional and the state level to continuously develop the mode of interventions, evaluate the quality of care and make mid-course corrections. • More than 70 per cent of health care contacts occur with the private sector. In an environment where the private sector is largely unregulated, there is a need to engage these stakeholders within the context of a 82 national mental health programme. Greater emphasis on research in mental health including clinical, psychosocial and biological research and development of centers dedicated for development of neuroscience research at the highest possible levels. • A thorough remobilization of important areas, which are still largely neglected including substance use disorder and to look for development of policies for prevention of substance use disorders including provision of rehabilitative services. • A look into more integrative approaches in using complementary and alternative therapies including homeopathy etc., in the current model of care and to reiterate the role of traditional faith healers in the system is important. • Non-Government Organizations (NGOs) that operate locally, nationally and internationally can contribute in many ways to the implementation of this programme, e.g., three leading international organizations that work in the area of epilepsy (International League Against Epilepsy [ILAE], International Bureau for Epilepsy [IBE], and WHO) joined forces in 1997 to create the Global Campaign Against Epilepsy. The campaign aims to improve provision of information about epilepsy and its consequences and to assist governments and those concerned with epilepsy to reduce its burden (WHO, 2008). In India, NGOs are involved actively in running DMHP in model districts, developing epilepsy and substance use treatment programmes and developing niche community based services for rehabilitation of mentally ill patients. Regional reports have been developed to define the current challenges and offer appropriate recommendations. CONCLUSION The story of the mental health programme in India is one of ambitious plans, scarce resources and shattered dreams. There is a need for greater advocacy of mental health among policy-making circles, and increased public awareness for © 2010 Indian Association for Social Psychiatry
the utilization of the mental health services. This calls for a greater commitment, vision and a vibrant spirit of innovation on the part of mental health care providers. The way forward is to build innovative partnerships and alliances. Commitment is needed from all partners to respond to this urgent public health need. The time to act is now! REFERENCES Agrawal, S.P., Goel, D.S., Ichpujani, R.L., et al (2004) Mental Health: Indian Perspectives, 1946-2003. Directorate General of Health Services, Ministry of Health and Family Welfare: New Delhi. Barua, A. (2009) Need for a realistic mental health programme in India. Indian Journal of Psychological Medicine, 31, 48- 49. Jacob, K.S. (2010) Repackaging mental health programmes. Accessed from the url http://www.thehindu.com/2010/11/ 04/stories/2010110464191400.htm on 10th December, 2010 Murray, C.J.L. & Lopez, A.D. (1996) Evidence-based health policy: Lessons from the Global Burden of Disease Study. Science, 274, 740-743. Saraceno, B., van Ommeren, M., Batniji, R., et al (2007) Barriers to the improvement of mental health services in low-income and middle-income countries. Lancet, 370, 1164-1174. Nizamie & Goyal Srinivasa Murthy, R. (2004) The National Mental Health Programme: Progress and Problems. In: Mental Health: An Indian Perspective 1946-2003. S.P. Agrawal, D.S. Goel, R.L. Ichpujani, et al (Eds), pp. 75-91. Directorate General of Health Services Ministry of Health and Family Welfare: New Delhi. Srinivasa Murthy, R. (2007) Mental Health Programme in the 11th Five Year Plan. Indian Journal of Medical Research, 125, 707-712. World Health Organization (2001) The World Health Report 2001. Mental health: New understanding, new hope. World Health Organization: Geneva. World Health Organization (2005) The World Mental Health Atlas, 2005, World Health Organization: Geneva. World Health Organization (2008) mhGAP: Mental Health Gap Action Programme: Scaling up care for mental, neurological and substance use disorders. World Health Organization: Geneva. 1. Dr. S. Haque Nizamie, M.D., D.P.M., (Corresponding Author) Professor of Psychiatry and Director, Central Institute of Psychiatry, Kanke, Ranchi. Email: rch_cip45@sancharnet.in 2. Dr. Nishant Goyal, M.D., D.P.M., Resident in Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi. © 2010 Indian Association for Social Psychiatry 83
Page 3 and 4: ISSN 0971-9962 Editor Vinod K. Sinh
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The Indian Journal of Social Psychi
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IJSP-2010(3-4) - Indian Association For Social Psychiatry

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